Acute paraparesis and sensory loss following intravenous corticosteroid administration in a case of spinal dural arteriovenous fistula (P3.268)

Conclusions:This case illustrates the nonspecific presentation SDAVF and difficulty of diagnosis from other causes of LETM including spinal stenosis, autoimmune disease. It also demonstrates acute worsening in the setting of possible SDAVF after oral and IV steroid administration, which contributed to increased morbidity following definitive treatment. The mechanism of acute worsening is believed to be hydrostatic steroid effect coupled with iatrogenic fluid co-administration causing increased venous congestion. Lastly, this case highlights management of comorbidities including thrombophilia and anticoagulation following surgery, comorbid spinal stenosis, and post-operative complications.Disclosure: Dr. DiSano has nothing to disclose. Dr. Cerejo has nothing to disclose. Dr. Mays has nothing to disclose.
Source: Neurology - Category: Neurology Authors: Tags: Cerebrovascular Disease Case Reports II Source Type: research